NPI | 1609854504 |
---|---|
Former Name | ALLISON KOLODY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0006862) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DE C1-0006862) |
Enumeration Date | 2006-01-03 |
Last Update Date | 2015-01-02 |