| NPI | 1528288644 |
|---|---|
| Former Name | LAURIE JO ALLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA TP000881C) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA TP000881C) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2018-07-16 |