NPI | 1023101995 |
---|---|
Former Name | PATRICIA WHEELER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3004717) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4717P) |
363L00000X Nurse Practitioner (Licence: IN 71005879A) | |
Enumeration Date | 2006-10-02 |
Last Update Date | 2024-06-26 |