NPI | 1598231904 |
---|---|
Other Name | ALLISON ANNE MALLETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2018035534) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2013025085) |
Enumeration Date | 2018-10-23 |
Last Update Date | 2020-08-06 |