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 |