| NPI | 1598125288 |
|---|---|
| Former Name | ALISHA MOWERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006559A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71006559A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28169666-A) | |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2020-12-22 |