| NPI | 1437120144 |
|---|---|
| Former Name | JULIE CAROL ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 2765) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: AZ 2765) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2022-10-18 |