| NPI | 1346720109 |
|---|---|
| Former Name | PAMELA GAYLE GHAREEB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2364656) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009712) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2023-12-01 |