| NPI | 1508191750 |
|---|---|
| Former Name | ALLISON DANIELLE ROSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71009074A) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209.007786) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2021-01-18 |