NPI | 1497999171 |
---|---|
Former Name | ABBY L CORDREY-ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000493) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD AC-000690) |
Enumeration Date | 2009-04-27 |
Last Update Date | 2015-09-01 |