NPI | 1790107258 |
---|---|
Former Name | ALICIA ELIZABETH KINTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2288353) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 848575) |
Enumeration Date | 2014-01-17 |
Last Update Date | 2020-04-29 |