NPI | 1811905615 |
---|---|
Former Name | CLAUDIA P. FULTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024077838) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0017000878) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2013-04-18 |