| NPI | 1902123938 |
|---|---|
| Former Name | CHARLOTTE W ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209012174) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP010385) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2024-11-04 |