| NPI | 1912550328 |
|---|---|
| Former Name | ERIN WISSINK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A155596) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA G176742) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2026-05-05 |