| NPI | 1710258751 |
|---|---|
| Former Name | GRACE ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 16600) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R877484) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2016-12-30 |