NPI | 1376192286 |
---|---|
Former Name | ALLISON KELLIE COLLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 26533) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 222034) |
Enumeration Date | 2019-09-04 |
Last Update Date | 2021-12-07 |