NPI | 1710202197 |
---|---|
Former Name | ALISON ELIZABETH MONTGOMERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CO 0052488) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2010-03-29 |
Last Update Date | 2023-07-28 |