NPI | 1235121542 |
---|---|
Former Name | ALLISON ELIZABETH REED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: OR PA00857) |
Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: WA PA10004422) |
Enumeration Date | 2005-08-22 |
Last Update Date | 2012-02-06 |