NPI | 1942823679 |
---|---|
Former Name | JESSICA ANN UECKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61519798) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995637-NP) |
Enumeration Date | 2020-05-28 |
Last Update Date | 2024-06-20 |