| NPI | 1215343470 |
|---|---|
| Former Name | ELLYN REYNELL FARRAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024171792) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024171792) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2015-02-25 |