NPI | 1467829036 |
---|---|
Former Name | WENDI LEE TRABILSY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R190055) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP018209) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP018209) | |
Enumeration Date | 2015-08-30 |
Last Update Date | 2024-08-21 |