NPI | 1295099687 |
---|---|
Former Name | ALLISON GAIL ORDEMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: TX R8449) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MS T-2588) |
Enumeration Date | 2012-06-29 |
Last Update Date | 2023-09-18 |