NPI | 1912415944 |
---|---|
Former Name | WENDY MCGINNIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2018000918) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MO 2018000918) |
Enumeration Date | 2018-01-11 |
Last Update Date | 2024-06-17 |