NPI | 1356756605 |
---|---|
Former Name | ALLISON LIPPS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001663A) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IN 10001663A) |
Enumeration Date | 2014-06-25 |
Last Update Date | 2024-11-08 |