| NPI | 1669854287 |
|---|---|
| Former Name | ALICE ANN HERMANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012373) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP000824) |
| 367A00000X Advanced Practice Midwife (Licence: NC 567) | |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2023-02-13 |