NPI | 1184924698 |
---|---|
Former Name | ALICIA B GAINEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5004953) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 214234) |
Enumeration Date | 2010-10-31 |
Last Update Date | 2024-03-12 |