NPI | 1154720332 |
---|---|
Former Name | ALLISON ANN BELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 11624) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MN 2130) |
363AM0700X Physician Assistant, Medical (Licence: MN 11624) | |
Enumeration Date | 2014-08-14 |
Last Update Date | 2024-01-18 |