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 |