NPI | 1871670794 |
---|---|
Former Name | EMILY LOUISE ALLIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 01374) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 1381) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2013-05-24 |