| NPI | 1114472610 |
|---|---|
| Former Name | TARAH NOEL ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000407) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014725) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2023-04-12 |