| NPI | 1619682473 |
|---|---|
| Former Name | ALLISON MARY STORY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12.011720) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 112022) |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2023-03-06 |