NPI | 1366295826 |
---|---|
Former Name | MOLLY KAY WINTERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023014587) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5383226) |
Enumeration Date | 2024-04-08 |
Last Update Date | 2024-05-31 |