| NPI | 1932182961 |
|---|---|
| Former Name | PAMELA JOYCE BLACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.08274-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA08274NP) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2015-04-15 |