NPI | 1285863803 |
---|---|
Former Name | ALLISON MARIE PEASLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M-12420) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R71666) |
208000000X Pediatrics (Licence: AZ R71666) | |
Enumeration Date | 2009-07-02 |
Last Update Date | 2014-08-12 |