| NPI | 1275147167 | 
|---|---|
| Former Name | ROSALYNN JOY ALLEN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R121828)  | 
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: MD R121828)  | 
| Enumeration Date | 2020-09-08 | 
| Last Update Date | 2020-09-20 |