| NPI | 1588086243 |
|---|---|
| Former Name | TRACY ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse Case Management (Licence: MA RN2280595) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: OR 201502810RN) | |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2019-06-28 |