NPI | 1003475211 |
---|---|
Former Name | ALLISON LEIGH BOMBALIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9367136) |
Enumeration Date | 2019-06-11 |
Last Update Date | 2022-05-31 |