NPI | 1477597573 |
---|---|
Former Name | LAURA WHEELER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-834A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1685) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2016-11-15 |