| NPI | 1033996061 |
|---|---|
| Former Name | ALISA MARIE FOWLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TN 183016) |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |