NPI | 1144406620 |
---|---|
Former Name | ELLEN WILSON-DORSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00284600) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009623) |
Enumeration Date | 2008-01-15 |
Last Update Date | 2022-03-02 |