NPI | 1801270863 |
---|---|
Former Name | PAMELA DOERR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP95002634) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 498751) |
Enumeration Date | 2015-07-18 |
Last Update Date | 2015-10-19 |