| NPI | 1932661196 |
|---|---|
| Former Name | ALLISON FULLENKAMP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: VA 0102206228) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: VA 1932661196) | |
| 171000000X Military Health Care Provider | |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2026-06-26 |