NPI | 1255390241 |
---|---|
Former Name | PAMELLA SUE ROHDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A-050977) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 110313) |
Enumeration Date | 2006-03-20 |
Last Update Date | 2014-10-15 |