NPI | 1376267435 |
---|---|
Former Name | RYLEE ANN WINBURN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MN 9672) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ND R44951) |
Enumeration Date | 2022-10-03 |
Last Update Date | 2022-12-13 |