NPI | 1720137177 |
---|---|
Former Name | DENISE MARIE ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD-032127-E) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 170213) |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: PA MD-032127-E) | |
Enumeration Date | 2007-01-08 |
Last Update Date | 2020-03-03 |