| NPI | 1356870174 |
|---|---|
| Former Name | ALLISON MARIE HOMSTAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 64351) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN 64351) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2024-10-21 |