NPI | 1124013362 |
---|---|
Former Name | D-ANN WELLER ROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9371233) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3015070) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP30006785) | |
Enumeration Date | 2005-09-14 |
Last Update Date | 2024-05-16 |