NPI | 1295228005 |
---|---|
Former Name | WANDA FAY MCGHEE-HAYNES-WHITE-SCHRADER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000024234) |
Enumeration Date | 2018-06-07 |
Last Update Date | 2018-06-16 |