NPI | 1376658500 |
---|---|
Former Name | LISA C ALLSHOUSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.081768) |
Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: OH 35081768) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2021-03-01 |