| NPI | 1548770191 |
|---|---|
| Former Name | COURTENAY BROOKS ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VT 101.0134007) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |