| NPI | 1073996047 |
|---|---|
| Former Name | JENNIFER ELIZABETH WEFEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71005484A) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2022-11-21 |