NPI | 1316322787 |
---|---|
Former Name | ALISA WHITFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR 084250) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004449) |
363LA2100X Nurse Practitioner, Acute Care (Licence: AR A004449) | |
Enumeration Date | 2015-07-27 |
Last Update Date | 2024-04-30 |