NPI | 1326296906 |
---|---|
Former Name | ANGELA D ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2009036101) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 46197) |
Enumeration Date | 2008-09-08 |
Last Update Date | 2010-01-08 |