| NPI | 1215316401 |
|---|---|
| Former Name | ALLISON MARIE GOURLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A126436) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A126436) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2022-08-30 |