NPI | 1033621305 |
---|---|
Former Name | ALLISON KAY HUETTEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 352581) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9356556) |
Enumeration Date | 2017-10-26 |
Last Update Date | 2023-11-27 |