| NPI | 1609747682 |
|---|---|
| Former Name | ALLISON MARIE RUDOLPH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NC 5023083) |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2026-09-09 |