| NPI | 1073079190 |
|---|---|
| Former Name | MCKENZIE WHEELER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OH 50.005879RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.005879X) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2024-08-09 |