NPI | 1710681150 |
---|---|
Former Name | DEBORAH WINGERD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 440090) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 440090) |
Enumeration Date | 2023-03-29 |
Last Update Date | 2023-03-29 |