| NPI | 1700638053 |
|---|---|
| Former Name | ALLISON RENEE MCLEOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: LA 7728) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2025-08-04 |