NPI | 1871193300 |
---|---|
Former Name | ALLISON DAWN KUZNICKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 831691) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 831691) |
Enumeration Date | 2020-10-26 |
Last Update Date | 2020-12-16 |