NPI | 1073535225 |
---|---|
Former Name | ALLISON FAYE MARSHALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME AP111087) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VT 101-0032213) |
363LF0000X Nurse Practitioner, Family (Licence: NH 053064-23-03) | |
Enumeration Date | 2006-07-24 |
Last Update Date | 2022-07-21 |