| NPI | 1124797113 |
|---|---|
| Former Name | ALIVIA PARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY APRN.CNP.0030114) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2026-06-26 |