NPI | 1275945909 |
---|---|
Former Name | ALISHA STEPHENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: GA 079346) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 079346) |
Enumeration Date | 2014-05-29 |
Last Update Date | 2023-09-07 |