NPI | 1841549508 |
---|---|
Former Name | ALYSSIA MCKENZIE CORTEAUX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013207) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 337310) |
Enumeration Date | 2012-09-09 |
Last Update Date | 2023-06-19 |