| NPI | 1326497181 |
|---|---|
| Former Name | MORIAH ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA003824) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00432100) |
| Enumeration Date | 2016-06-12 |
| Last Update Date | 2021-03-31 |