NPI | 1093375750 |
---|---|
Former Name | ERIKA VANWYCK POPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183145) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025024) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-06-15 |
Last Update Date | 2023-02-09 |