NPI | 1306187141 |
---|---|
Former Name | ALLISON D LARDNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 374) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 212470-6) |
Enumeration Date | 2013-03-04 |
Last Update Date | 2020-09-30 |