| NPI | 1740554732 |
|---|---|
| Former Name | ROBERT C ALLEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC APN 17717) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11005398) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2021-05-06 |