| NPI | 1104286863 |
|---|---|
| Former Name | JODY KRISTIN WETZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9320843) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9320843) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2024-04-15 |