| NPI | 1639678451 |
|---|---|
| Former Name | ALLYSON LEIGH PELUDAT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.006541) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MA 1150728) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2021-04-07 |