| NPI | 1215070370 |
|---|---|
| Former Name | ALISHA KRISTINE BYNUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 006351) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A8515) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2023-12-19 |