NPI | 1760732929 |
---|---|
Former Name | WENDI LYNNE POPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00385500) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP007601) |
Enumeration Date | 2012-09-14 |
Last Update Date | 2012-09-14 |