| NPI | 1811375892 |
|---|---|
| Former Name | ALLISON CAROLYN PREW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10003813A) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2023-06-21 |