NPI | 1225478191 |
---|---|
Former Name | ALLISON ASAKO PRATT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036143806) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125066024) |
282E00000X (Licence: MI 4301103685) | |
Enumeration Date | 2013-06-25 |
Last Update Date | 2019-09-13 |