| NPI | 1083680615 |
|---|---|
| Former Name | JENNIFER CLAIRE ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME144527) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: AL 00004512) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2020-03-27 |