NPI | 1528159647 |
---|---|
Former Name | PAMELA LOUISE DAYTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704203397) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704203397) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2018-12-27 |