| NPI | 1124436118 |
|---|---|
| Former Name | PAMELA SUE WILLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5944-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 143303-30) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2021-08-25 |