NPI | 1760863013 |
---|---|
Former Name | JAY-SHEREE ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MN 60646) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 60646) |
Enumeration Date | 2015-06-12 |
Last Update Date | 2024-10-04 |