NPI | 1487140620 |
---|---|
Former Name | ALLYSON ANNE LANGLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002512A) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 3569) |
363AM0700X Physician Assistant, Medical (Licence: IN 10002512A) | |
Enumeration Date | 2018-07-10 |
Last Update Date | 2023-09-09 |