NPI | 1902541527 |
---|---|
Other Name | PAMILA DELORES SHELTON MCINTYRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN249566) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN249566) |
363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN249566) | |
Enumeration Date | 2022-04-28 |
Last Update Date | 2022-04-28 |