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 |