NPI | 1528309986 |
---|---|
Former Name | JESSICA C ALDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MS 906794) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR A003797) |
Enumeration Date | 2013-03-11 |
Last Update Date | 2024-08-05 |