NPI | 1336499243 |
---|---|
Former Name | VERENA ANNETTE PANNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP07004) |
Enumeration Date | 2012-09-18 |
Last Update Date | 2014-10-22 |