NPI | 1174559835 |
---|---|
Former Name | ALLISON MARY VAN FLEET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 168144) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CO 168144) |
Enumeration Date | 2006-06-24 |
Last Update Date | 2013-08-19 |