NPI | 1942757562 |
---|---|
Former Name | ALICIA D VOGEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 77314) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 77314) |
363LF0000X Nurse Practitioner, Family (Licence: KS 77314) | |
Enumeration Date | 2016-09-01 |
Last Update Date | 2023-07-12 |