NPI | 1144403817 |
---|---|
Former Name | MONIQUE T ALLGOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 003687) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 003687) |
Enumeration Date | 2007-12-17 |
Last Update Date | 2021-04-30 |