NPI | 1104050848 |
---|---|
Former Name | ALLISON MARIE SHEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME108062) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 13490) |
Enumeration Date | 2009-05-10 |
Last Update Date | 2024-05-31 |