| NPI | 1255673075 |
|---|---|
| Former Name | ALLISON TALBERT HICKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 70473) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 270327) |
| 208000000X Pediatrics (Licence: IL 036.139944) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2023-10-05 |