| NPI | 1568944361 |
|---|---|
| Former Name | BRANDY J ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001304) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.017694) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2024-08-29 |