| NPI | 1811293863 |
|---|---|
| Former Name | ALLISON SWAIM GOSNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006922) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 85698) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2014-08-21 |