NPI | 1316922073 |
---|---|
Former Name | JAIME ALLISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-100787) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9162423) |
Enumeration Date | 2005-12-14 |
Last Update Date | 2023-06-01 |