NPI | 1659747228 |
---|---|
Former Name | SUSAN ALIPIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013161) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172793) |
Enumeration Date | 2015-08-18 |
Last Update Date | 2023-06-05 |