| NPI | 1639548738 |
|---|---|
| Former Name | ALICIA M. NUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 76949) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 53-76949-061) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-10-29 |