NPI | 1447800685 |
---|---|
Former Name | ALYSHA HARTL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP1700X Nurse Practitioner, Perinatal (Licence: IA A156354) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A156354) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IA A156354) | |
Enumeration Date | 2019-09-19 |
Last Update Date | 2023-01-09 |