NPI | 1922093756 |
---|---|
Former Name | ELLEN ANN HUFFARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN RN0000113761) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3015085) |
Enumeration Date | 2005-09-19 |
Last Update Date | 2020-09-21 |