Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 95007678 | CA |
NPI | 1174048607 |
---|---|
Provider Name | Alina Harper |
First Address | Elk Grove, CA 95624-2803 |
Second Address | Sacramento, CA 95817-2201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2017 |
Last Update Date | 13/06/2020 |