| NPI | 1821572306 |
|---|---|
| Former Name | ALLISON NICOLE LANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA007066) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA060118) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2024-11-12 |