NPI | 1083959621 |
---|---|
Former Name | ALICE DEUTSCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1522) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI 1522) |
Enumeration Date | 2012-12-08 |
Last Update Date | 2018-03-17 |