| NPI | 1063159879 |
|---|---|
| Former Name | ALICIA JOY DALTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11020823) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9375337) |
| Enumeration Date | 2022-05-14 |
| Last Update Date | 2023-05-02 |