NPI | 1215911847 |
---|---|
Former Name | TERRI L WYNN-HIPPS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 176B00000X Midwife (Licence: NC CNM- 359) |
Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: NY F360483-1) |
Enumeration Date | 2005-12-06 |
Last Update Date | 2011-03-31 |