NPI | 1467809806 |
---|---|
Former Name | ALICIA NICOLE BARLOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA A153183) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-05-16 |
Last Update Date | 2021-07-28 |