NPI | 1902156110 |
---|---|
Other Name | ALLYSON PAIGE GRAMSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA173992) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AK 1057) |
Enumeration Date | 2012-09-14 |
Last Update Date | 2020-04-09 |