NPI | 1962741348 |
---|---|
Former Name | ALLISON LAUREN TRIPP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00929) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 9343) |
Enumeration Date | 2013-02-05 |
Last Update Date | 2024-09-17 |