| NPI | 1417622770 |
|---|---|
| Former Name | COURTNEY LEE WINGATE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15112100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP023381) |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2024-08-18 |