| NPI | 1093010720 |
|---|---|
| Former Name | VALERIE LYNN WENGERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9105825) |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: FL PA9105825) |
| 363A00000X Physician Assistant (Licence: FL PA9105825) | |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2018-10-30 |