| NPI | 1598258634 |
|---|---|
| Former Name | ALISON ELIZABETH MOYNIHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 316818) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 316818) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2023-07-17 |