NPI | 1013231349 |
---|---|
Former Name | ALICIA MARIE HISCOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5006631) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: VA 0024174840) |
363LN0000X Nurse Practitioner, Neonatal (Licence: NY F350312-1) | |
Enumeration Date | 2010-03-15 |
Last Update Date | 2019-02-22 |