NPI | 1255738688 |
---|---|
Former Name | COLLEEN L. ALLEN-HERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R136818) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000771) |
Enumeration Date | 2014-12-01 |
Last Update Date | 2019-01-10 |