| NPI | 1396954400 |
|---|---|
| Former Name | BETH ELAINE ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0991655) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.358885) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: CO 1618400) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2015-04-06 |