| NPI | 1699205583 |
|---|---|
| Former Name | ANNE KATHRYN ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 10962) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DN015467) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2021-04-06 |