| NPI | 1184632432 |
|---|---|
| Former Name | MARY LYNN ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME64135) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 11919) |
| 207P00000X Emergency Medicine (Licence: FL ME64135) | |
| 207R00000X Internal Medicine (Licence: SC 11919) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME64135) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2021-01-13 |