| NPI | 1659091023 |
|---|---|
| Former Name | JACINTA B ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71014075A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28163991A) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2024-10-10 |