Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | 11556-33 | WI |
NPI | 1154088722 |
---|---|
Provider Name | Gurwinder Kaur |
First Address | Milwaukee, WI 53212-3428 |
Second Address | Milwaukee, WI 53208-2453 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2021 |
Last Update Date | 18/11/2021 |