NPI | 1215316401 |
---|---|
Former Name | ALLISON MARIE GOURLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IA A126436) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A126436) |
Enumeration Date | 2015-05-21 |
Last Update Date | 2022-08-30 |