| NPI | 1023433000 |
|---|---|
| Former Name | ALLISON GENDRON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: ME PA1575) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: ME PA1575) |
| 363A00000X Physician Assistant (Licence: MA PA4929) | |
| 363A00000X Physician Assistant (Licence: ME PA4929) | |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2022-02-15 |