| 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 |