| NPI | 1588207310 |
|---|---|
| Former Name | ELIZABETH ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MO 2020026938) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2012036448) |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2023-08-03 |