NPI | 1578641445 |
---|---|
Former Name | MICHELLE C ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP115310) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 636309) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2021-03-31 |