NPI | 1922455831 |
---|---|
Former Name | REBECCA CLAIRE ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 311484) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-05-20 |
Last Update Date | 2023-09-19 |