| NPI | 1053705335 |
|---|---|
| Former Name | ALLYSON REID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 60562) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 136148) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2022-04-15 |