| NPI | 1386990588 |
|---|---|
| Former Name | ALLIE INDECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2276034) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 098231) |
| 163W00000X Registered Nurse (Licence: MA RN2276034) | |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2015-08-19 |