NPI | 1073851168 |
---|---|
Former Name | ALLISON MARIE TOMICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA OP60680669) |
Additional Taxonomies | 208D00000X General Practice (Licence: NE 1263) |
Enumeration Date | 2013-01-23 |
Last Update Date | 2021-06-18 |