| NPI | 1104149392 |
|---|---|
| Former Name | IVY R WENDEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D116580) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IA 116580) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2014-01-24 |