| NPI | 1093235533 |
|---|---|
| Former Name | JOANN KAY WILLIAMS RUPPERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26243) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 5353) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2022-07-14 |