| NPI | 1922005545 |
|---|---|
| Former Name | SUSAN ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 570847) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 570847) |
| Enumeration Date | 2005-06-29 |
| Last Update Date | 2012-06-26 |