NPI | 1316100316 |
---|---|
Former Name | KRISTIN L ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71002698A) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71002698A) |
Enumeration Date | 2008-07-09 |
Last Update Date | 2013-01-03 |