| NPI | 1265690630 |
|---|---|
| Former Name | ALICIA MARIE DEVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3005651) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18768-NP) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.18768) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2021-12-28 |