NPI | 1275159535 |
---|---|
Former Name | ALLISON LIPETZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10004541A) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 8610) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-06-23 |
Last Update Date | 2024-09-24 |