| NPI | 1457090656 |
|---|---|
| Former Name | PAULA MAE KUIPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13089) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 246225-30) |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2022-09-21 |