| NPI | 1598055816 |
|---|---|
| Former Name | PAMELA JO SANBORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 154788-30) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: WI 154788-30) |
| 163WC1500X Registered Nurse, Community Health (Licence: WI 154788-30) | |
| 163WH0200X Registered Nurse, Home Health (Licence: WI 154788-30) | |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2015-11-10 |