| NPI | 1568901585 |
|---|---|
| Former Name | PAMELA R. MCCRACKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP133424) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 609934) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2020-02-07 |