| NPI | 1134680119 |
|---|---|
| Former Name | EMILY FAITH WIKER |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN268138) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN268138) |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2022-03-21 |