NPI | 1891045217 |
---|---|
Former Name | ALISON E MIZE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 75779) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 75779) |
Enumeration Date | 2012-09-13 |
Last Update Date | 2020-07-30 |