| NPI | 1477336857 |
|---|---|
| Former Name | JODIE M WILMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001312185) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: VA 0001312185) |
| 163WH0200X Registered Nurse, Home Health (Licence: VA 0001312185) | |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-08-17 |