| NPI | 1215383443 |
|---|---|
| Former Name | ALISON ELIZABETH BUMBACO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00629700) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2023-01-09 |