| NPI | 1669842498 |
|---|---|
| Former Name | ASHLEY ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: ID 67008) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 103435) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2021-07-23 |