NPI | 1841920535 |
---|---|
Former Name | ALLISON NOELLE DEBUSK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 6051) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116036711) |
Enumeration Date | 2022-06-15 |
Last Update Date | 2025-09-25 |