NPI | 1235721549 |
---|---|
Former Name | ALLISON MARGARET FARREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11032542) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5014064) |
363LF0000X Nurse Practitioner, Family (Licence: NC 5014064) | |
Enumeration Date | 2021-02-08 |
Last Update Date | 2024-08-15 |