| NPI | 1477064129 |
|---|---|
| Former Name | MIRANDA WHEELER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP500004527) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC002179) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175524) | |
| Enumeration Date | 2017-10-21 |
| Last Update Date | 2022-10-17 |