NPI | 1861453490 |
---|---|
Former Name | GENA R SCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP6776) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ RN060806) |
Enumeration Date | 2006-03-31 |
Last Update Date | 2018-07-25 |