NPI | 1366858334 |
---|---|
Former Name | ALICIA LEA SHREFFLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H108094) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IA H108094) |
Enumeration Date | 2014-07-10 |
Last Update Date | 2022-07-13 |