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 |