| NPI | 1164862058 |
|---|---|
| Former Name | ALLISON BROOKE OWENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-12732) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MRM-1333) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2017-01-25 |