| NPI | 1982253654 |
|---|---|
| Former Name | ALLISON CHILDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 7670-23) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA12971) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2024-05-13 |