NPI | 1710138300 |
---|---|
Former Name | DONNI EUGENIA ALLEN, CASE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.002817RX) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OH 50.002817RX) |
Enumeration Date | 2008-10-01 |
Last Update Date | 2024-07-01 |