NPI | 1265989438 |
---|---|
Former Name | KERRY J WULPERN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 063114-23) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 063114-23) |
Enumeration Date | 2016-09-06 |
Last Update Date | 2018-09-14 |