| NPI | 1619590015 | 
|---|---|
| Former Name | ALLYSON S FRIEDERICH | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010107A)  | 
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IN 28229935A)  | 
| Enumeration Date | 2020-05-20 | 
| Last Update Date | 2024-02-08 |