NPI | 1568023240 |
---|---|
Former Name | ALLISON MARIE WEBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11002900) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11002900) |
Enumeration Date | 2019-06-24 |
Last Update Date | 2023-04-14 |