NPI | 1922310713 |
---|---|
Former Name | ELLEN S DAVID |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R157119) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R157119) |
Enumeration Date | 2010-07-08 |
Last Update Date | 2018-01-08 |