| NPI | 1629418181 |
|---|---|
| Former Name | ELLEN ROSE SOLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 18166) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 8214293) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2014-07-13 |