| NPI | 1760469134 |
|---|---|
| Other Name | ALLISON GAYLE MARDIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3002239) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3002239) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3002239) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3002239) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2021-05-13 |