| NPI | 1063933422 |
|---|---|
| Former Name | ALISHA ANN SANDIDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 317365) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006600) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2024-12-19 |