NPI | 1679698849 |
---|---|
Former Name | CYNTHIA RAE WHEELER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP16833) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA RN575767) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2016-11-18 |