| NPI | 1285306035 | 
|---|---|
| Former Name | ALLISON M PAIDER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 11096-33)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704393704)  | 
| Enumeration Date | 2021-09-30 | 
| Last Update Date | 2024-12-20 |