| NPI | 1073171864 |
|---|---|
| Former Name | ALICIA VAUDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 77694) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R36957) |
| 363LF0000X Nurse Practitioner, Family (Licence: ND R36957) | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2024-05-06 |