NPI | 1780664409 |
---|---|
Other Name | ANGELA L. ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: AL MD.43429) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MO 114887) |
Enumeration Date | 2006-01-19 |
Last Update Date | 2022-04-06 |