NPI | 1720659485 |
---|---|
Former Name | ALYSHA BUTTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61191002) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10001515) |
Enumeration Date | 2021-07-05 |
Last Update Date | 2025-04-17 |