NPI | 1962127100 |
---|---|
Former Name | ALYSSA L BONNIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71015585A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 726902) |
363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11022447) | |
Enumeration Date | 2022-10-10 |
Last Update Date | 2024-11-05 |