NPI | 1043234057 |
---|---|
Former Name | JENNIFER ALLEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 067817) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R47932) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2022-03-10 |