NPI | 1508304346 |
---|---|
Former Name | ALLISON ELISE BARGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 3929) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 12537) |
363A00000X Physician Assistant (Licence: NC 0010-07022) | |
Enumeration Date | 2017-02-01 |
Last Update Date | 2025-09-22 |