NPI | 1770595548 |
---|---|
Former Name | ALISE OTT WELSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA A174356) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A174356) |
363LF0000X Nurse Practitioner, Family (Licence: SC 1467) | |
363LF0000X Nurse Practitioner, Family (Licence: TX 766456) | |
363LF0000X Nurse Practitioner, Family (Licence: WA AP60400441) | |
Enumeration Date | 2006-08-12 |
Last Update Date | 2024-05-02 |