NPI | 1740229533 |
---|---|
Former Name | DONNA POMFREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 380026) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 380026) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2013-08-23 |