| NPI | 1003323304 |
|---|---|
| Former Name | KAYLENE NICHOLE WENDORFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2163) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2023-08-16 |