| NPI | 1942718978 |
|---|---|
| Former Name | ALISHA BREANNA DEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2018001757) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2018001757) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 213500) | |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2023-04-17 |