| NPI | 1780684357 |
|---|---|
| Former Name | PAMELA E DELASHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 19862) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX L2077) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2018-07-13 |