NPI | 1588728380 |
---|---|
Former Name | JENNIFER L WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 308084) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R63397) |
367A00000X Advanced Practice Midwife (Licence: NM 566) | |
Enumeration Date | 2006-12-19 |
Last Update Date | 2024-06-21 |