| NPI | 1265633648 |
|---|---|
| Former Name | MICHELLE MENDOZA ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME136766) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 235736) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2022-09-19 |