NPI | 1255770186 |
---|---|
Former Name | REBECKA MAY WINFREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704248539) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704248539) |
363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704248539) | |
364SG0600X Clinical Nurse Specialist, Gerontology (Licence: MI 4704248539) | |
Enumeration Date | 2013-06-25 |
Last Update Date | 2023-01-24 |