| NPI | 1316054497 |
|---|---|
| Former Name | ALLISON ELAINE LISLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MO PERMANENT) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: KS 04-34600) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2013-11-18 |