| NPI | 1144866922 |
|---|---|
| Former Name | MICA DANIELLE ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 128809) |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2022-03-23 |