| NPI | 1740685635 |
|---|---|
| Former Name | ALLISON L DELISLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020760) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 19081) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2020-05-28 |