NPI | 1598121816 |
---|---|
Former Name | ALYSON NICOLE NOBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-167764) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK F0116590) |
Enumeration Date | 2016-01-04 |
Last Update Date | 2021-01-12 |