| NPI | 1194287359 |
|---|---|
| Former Name | JILL ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: NE 2601) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 2601) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2026-08-12 |