NPI | 1447700059 |
---|---|
Former Name | ALICIA DIANE YARGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016388) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP016388) |
Enumeration Date | 2016-10-06 |
Last Update Date | 2024-05-28 |