| NPI | 1932794328 |
|---|---|
| Former Name | ALANA TUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101276472) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101276472) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2024-07-31 |