| NPI | 1750328597 |
|---|---|
| Former Name | ALLISON DORBANDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X (Licence: CO DR.0041998) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 41998) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2023-08-07 |