| NPI | 1255738688 |
|---|---|
| Former Name | COLLEEN L. ALLEN |
| 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 | 2025-01-02 |