| NPI | 1770933293 |
|---|---|
| Former Name | PAMELA SUE MCCLELLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN546629) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |