NPI | 1730639808 |
---|---|
Former Name | ALISON FIELDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 26353) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.433629) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.020391) | |
Enumeration Date | 2016-10-12 |
Last Update Date | 2022-10-11 |