NPI | 1841467560 |
---|---|
Former Name | WENDY G BUCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 3408) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 3408) |
Enumeration Date | 2008-05-12 |
Last Update Date | 2018-05-14 |