| NPI | 1679097232 |
|---|---|
| Former Name | ALLISON GAYLE MACALLISTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002309A) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2024-03-28 |