NPI | 1922606110 |
---|---|
Former Name | BRITTANY WINGERTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10031447) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 346663) |
Enumeration Date | 2020-10-12 |
Last Update Date | 2024-11-13 |