NPI | 1003165598 |
---|---|
Former Name | ERIN M SCANLON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP012271) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA sp012271) |
Enumeration Date | 2012-08-30 |
Last Update Date | 2020-10-09 |