NPI | 1457786113 |
---|---|
Former Name | ALLISON L. OZELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 9626) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 2007) |
363AS0400X Physician Assistant, Surgical (Licence: 2007) | |
Enumeration Date | 2013-09-12 |
Last Update Date | 2020-05-06 |