| NPI | 1225235377 |
|---|---|
| Former Name | ALICIA D BREATH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK R57581) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: OK R0057581) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2013-12-20 |