| NPI | 1366716540 |
|---|---|
| Former Name | ALICIN F HARRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL pa9111905) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA055213) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2019-02-01 |