NPI | 1932310216 |
---|---|
Former Name | ALYCE M. HUNTSINGER-MICKEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200850051NP) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: OR 081047091N9) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2011-08-15 |