NPI | 1376094037 |
---|---|
Former Name | ALLISON SUZANNE RINDERKNECHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA 9109907) |
Enumeration Date | 2016-10-18 |
Last Update Date | 2022-07-20 |