NPI | 1437440849 |
---|---|
Former Name | ALANA FORLENZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: MN 55992) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 55992) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-04-20 |
Last Update Date | 2020-09-17 |