NPI | 1801429451 |
---|---|
Professional Name | DEBRA JANE WILKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013903) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1110411) |
Enumeration Date | 2020-02-21 |
Last Update Date | 2021-08-18 |