| NPI | 1760904866 |
|---|---|
| Former Name | ALLISON LEE MERGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9112789) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA059114) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2021-09-02 |