NPI | 1023306578 |
---|---|
Former Name | ALISON GHORMLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2011017424) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TN 64961) |
Enumeration Date | 2011-07-19 |
Last Update Date | 2023-03-23 |