NPI | 1619300795 |
---|---|
Former Name | ALLISON LEE FOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704265097) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704265097) |
Enumeration Date | 2013-08-13 |
Last Update Date | 2022-10-27 |