NPI | 1811613177 |
---|---|
Former Name | ALYSSA MARIE WHITLOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH RN.438539) |
Enumeration Date | 2022-10-18 |
Last Update Date | 2022-10-18 |