| NPI | 1902318066 |
|---|---|
| Former Name | ALLISON BETH BLOOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363A00000X Physician Assistant (Licence: FL PA9110749) | |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2022-08-07 |