| NPI | 1689924359 | 
|---|---|
| Former Name | ALLISON ULRICH | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0004802) | 
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601006421) | 
| 363A00000X Physician Assistant (Licence: CO 0004802) | |
| Enumeration Date | 2012-09-10 | 
| Last Update Date | 2023-10-18 |