NPI | 1386408433 |
---|---|
Former Name | LINDSEY MARIE ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11031207) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11031207) |
163W00000X Registered Nurse (Licence: FL 9536865) | |
Enumeration Date | 2024-02-09 |
Last Update Date | 2025-01-14 |