NPI | 1477957363 |
---|---|
Former Name | WENDY LYNN HOOTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704283978) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704283978) |
Enumeration Date | 2014-10-21 |
Last Update Date | 2019-02-11 |