| NPI | 1093015109 |
|---|---|
| Former Name | NINA RUTH ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004932) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC NP approval #5004932) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2021-04-29 |