NPI | 1306486030 |
---|---|
Former Name | ALLISON M WELDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IA G175222) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A157432) |
Enumeration Date | 2020-01-10 |
Last Update Date | 2024-11-18 |