NPI | 1891177697 |
---|---|
Former Name | ALISON GHISE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 018664) |
Enumeration Date | 2015-06-29 |
Last Update Date | 2021-12-14 |