NPI | 1669863478 |
---|---|
Former Name | ALLYSON KAYE NORWOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-05512) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NC 0010-05512) |
Enumeration Date | 2015-02-16 |
Last Update Date | 2021-08-04 |