| NPI | 1336635077 |
|---|---|
| Former Name | ALLISON HALLBACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2024-11-19 |