NPI | 1346504099 |
---|---|
Former Name | ALICIA MARIE STROTMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 7100743A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 28374) |
363LF0000X Nurse Practitioner, Family (Licence: KY 3007488) | |
Enumeration Date | 2012-06-27 |
Last Update Date | 2022-07-06 |