NPI | 1245777614 |
---|---|
Former Name | ALLISON ANN ORCHARDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 8545) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 164715) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382670) | |
Enumeration Date | 2017-01-24 |
Last Update Date | 2022-09-23 |