| NPI | 1689030959 |
|---|---|
| Former Name | FALLAN PRYOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0992131) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R240367) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 833052) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 18858) | |
| Enumeration Date | 2016-01-02 |
| Last Update Date | 2023-08-03 |