| NPI | 1518968965 |
|---|---|
| Former Name | VICTORIA JEAN ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IA 31663) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 31663) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2007-12-18 |