| NPI | 1255906400 |
|---|---|
| Former Name | ALICIA ROSE ZEBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 10906) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 10906) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2021-05-20 |