NPI | 1619590015 |
---|---|
Former Name | ALLYSON S FRIEDERICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010107A) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IN 28229935A) |
Enumeration Date | 2020-05-20 |
Last Update Date | 2024-02-08 |