| NPI | 1023867561 |
|---|---|
| Former Name | TAHLIA IMANI ALLWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2391970) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9645931) |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-05-16 |