| NPI | 1659670966 |
|---|---|
| Former Name | ALISHA RENEE FAULKNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.12138) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006879) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2018-12-10 |