NPI | 1144937566 |
---|---|
Other Name | SHANIA WENGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA063780) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MW7606140) |
Enumeration Date | 2022-11-04 |
Last Update Date | 2023-08-03 |