NPI | 1720601248 |
---|---|
Former Name | ALLISON PATRICIA FREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 125076499) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125076499) |
Enumeration Date | 2020-05-19 |
Last Update Date | 2021-05-12 |