NPI | 1437448057 |
---|---|
Former Name | ALLISON RUTH LABOON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 4301106893) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-04-04 |
Last Update Date | 2024-04-17 |