NPI | 1366864811 |
---|---|
Other Name | TRICIA ROCHELLE ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AS0400X Physician Assistant Surgical |
Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other Surgical Assistant |
Enumeration Date | 2014-01-16 |
Last Update Date | 2019-12-14 |