| NPI | 1275724494 |
|---|---|
| Former Name | WENDA MARIE CORONEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: WA CM60869754) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MA00022587) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2023-08-17 |