| 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 |