NPI | 1659817153 |
---|---|
Former Name | ALLISON REBECCA DEW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9319269) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9319269) |
363L00000X Nurse Practitioner (Licence: FL ARNP9319269) | |
Enumeration Date | 2017-01-09 |
Last Update Date | 2022-07-21 |