NPI | 1497187629 |
---|---|
Other Name | PENNY MOONEY POPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5006312) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006312) |
Enumeration Date | 2013-07-30 |
Last Update Date | 2016-10-18 |