| NPI | 1508050824 |
|---|---|
| Former Name | PAMELA LYNN SEALOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 3343) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.006724) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2024-02-19 |