| NPI | 1578930624 |
|---|---|
| Former Name | ALYCIA M MULLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 0339821) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 339821) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2017-03-07 |