| NPI | 1265202287 |
|---|---|
| Former Name | WENDY DE LOS SANTOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: AZ 298060) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 298060) |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-09-09 |