| NPI | 1689185241 |
|---|---|
| Former Name | ALLISON RAETTIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN23501) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175486) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2023-03-24 |