NPI | 1629559562 |
---|---|
Former Name | ANNABELLE LEE SHOLLENBERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2293597) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 070263-23) |
Enumeration Date | 2018-08-28 |
Last Update Date | 2023-07-25 |