| NPI | 1538345343 |
|---|---|
| Former Name | CHARITY ELIZABETH ALEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 69510-20) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 43453) |
| 207Q00000X Family Medicine (Licence: AZ 81021) | |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2020-12-16 |