| NPI | 1366853541 |
|---|---|
| Former Name | GINA R ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2013044837) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MO 20113044837) |
| Enumeration Date | 2014-05-10 |
| Last Update Date | 2023-10-16 |