NPI | 1356538375 |
---|---|
Former Name | ELLEN M. PAGEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30007839) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5006398) |
Enumeration Date | 2007-10-03 |
Last Update Date | 2021-04-27 |