| NPI | 1942653902 |
|---|---|
| Former Name | ALLISON LOUDERMILK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MB10838600) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA ot017249) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2020-10-22 |