NPI | 1962438762 |
---|---|
Former Name | CHERYL G ELLEDGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MO 2012005566) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MO 143916) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2024-03-22 |