| NPI | 1164679916 |
|---|---|
| Former Name | ALICIA EILEEN MINTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 179252) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201604025NP-PP) |
| Enumeration Date | 2008-08-23 |
| Last Update Date | 2022-03-22 |