| NPI | 1417437153 |
|---|---|
| Former Name | ALLISON MARIE GROFT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA060064) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA004593) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-09-13 |