NPI | 1811286297 |
---|---|
Former Name | GRETCHEN NICOLE ALLISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 075910) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101018961) |
207RG0100X Internal Medicine, Gastroenterology (Licence: OH 34.015547) | |
Enumeration Date | 2011-04-06 |
Last Update Date | 2022-01-18 |