NPI | 1417109158 |
---|---|
Former Name | ALISSA D MCDIVITT-COX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002973A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.10035-NP) |
Enumeration Date | 2008-10-14 |
Last Update Date | 2024-08-12 |