NPI | 1770699415 |
---|---|
Former Name | DEBRA POLLOCK WILLIFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS R871784) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MS R871784) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2007-07-08 |