NPI | 1841828084 |
---|---|
Former Name | KATHRYN ALLISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 74326) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2020015725) |
Enumeration Date | 2020-04-01 |
Last Update Date | 2023-08-31 |