| NPI | 1720107337 |
|---|---|
| Former Name | DIEDRE A ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: MO 073951) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 1339651031) |
| 163W00000X Registered Nurse (Licence: MO 073851) | |
| 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: KS 74337) | |
| 176B00000X Midwife (Licence: KS 64043) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2011-12-02 |