| NPI | 1912041294 |
|---|---|
| Former Name | ALISHA JILL FOWLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN118690) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN118690) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2011-11-30 |