NPI | 1649251455 |
---|---|
Former Name | WENDI ANN CUNNINGHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP11404) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN534567) |
Enumeration Date | 2005-11-09 |
Last Update Date | 2012-05-24 |