| NPI | 1518461136 |
|---|---|
| Former Name | ALLISON M LORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: FL ME166915) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 010658) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2024-02-22 |