NPI | 1356062046 |
---|---|
Former Name | ALYSSA CHRISTINE HATTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 10007079) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 10007079) |
363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95022177) | |
Enumeration Date | 2022-09-09 |
Last Update Date | 2025-01-10 |