| NPI | 1841602729 |
|---|---|
| Former Name | ALICIA BARNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: NC FC6870251) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: VA 0102204556) |
| 207Q00000X Family Medicine (Licence: FL OS20381) | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2026-02-27 |