NPI | 1639639859 |
---|---|
Former Name | ALLISON M. COOL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D94665) |
Additional Taxonomies | 208000000X Pediatrics (Licence: UT 11912736-1205) |
Enumeration Date | 2019-03-22 |
Last Update Date | 2024-04-25 |