| NPI | 1699013607 |
|---|---|
| Former Name | ALICIA TERRI AUGUSTINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP08060) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R885839) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2016-04-14 |