| NPI | 1194199752 |
|---|---|
| Former Name | SARA MARIE WELLENSTEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MN 6239) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2459635) |
| 163W00000X Registered Nurse (Licence: WI 225556) | |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2025-02-26 |