| NPI | 1447407994 |
|---|---|
| Former Name | ALICIA OCTAVIA SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R124214) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2021-05-26 |