NPI | 1174905772 |
---|---|
Former Name | WESLEY R POLLPETER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H125082) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IA H125082) |
Enumeration Date | 2015-06-19 |
Last Update Date | 2021-11-05 |