| NPI | 1871697342 |
|---|---|
| Former Name | CYNTHIA ANN ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 435) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 123065) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AK 435) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2009-07-22 |