| NPI | 1760017461 |
|---|---|
| Former Name | ALISON BEVERLY AUSTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601013266) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: HI AMD-981) |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2025-08-12 |