NPI | 1891376273 |
---|---|
Former Name | ALLISON GRONINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 0006835) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-04-18 |
Last Update Date | 2023-10-30 |