NPI | 1376094995 |
---|---|
Former Name | DEANNA PAPAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP016647) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN607191) |
Enumeration Date | 2016-10-19 |
Last Update Date | 2017-06-05 |