NPI | 1043655210 |
---|---|
Former Name | ALLISON MUELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209010385) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71009920A) |
Enumeration Date | 2013-05-01 |
Last Update Date | 2022-04-06 |