NPI | 1083187256 |
---|---|
Other Name | WENDY VESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 904185) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 889720) |
Enumeration Date | 2019-01-09 |
Last Update Date | 2022-02-06 |