| NPI | 1104892371 |
|---|---|
| Former Name | REBECCA L ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IN 71000950A) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2024-04-10 |