| NPI | 1649410283 |
|---|---|
| Former Name | ANGELA RENAE ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IN 71002875A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71002875A) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2022-12-06 |