| NPI | 1104183037 |
|---|---|
| Former Name | DIANE ELISE ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD193303) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OR MD193303) |
| 208000000X Pediatrics (Licence: TX 0042805) | |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2020-08-11 |