NPI | 1861002099 |
---|---|
Former Name | ALYCIA M STREANDER; HINTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015106) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1104001) |
Enumeration Date | 2020-08-03 |
Last Update Date | 2020-09-14 |