| NPI | 1194158238 |
|---|---|
| Former Name | MIRJAM J ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.000330) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010635) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2023-07-14 |