NPI | 1831524230 |
---|---|
Former Name | ELIZABETH ALLISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101.0130490) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY F337969) |
Enumeration Date | 2013-09-05 |
Last Update Date | 2019-09-18 |