| NPI | 1336144559 |
|---|---|
| Former Name | MARIJANE SARAH WOHLLEB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3004812) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 7100790) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2017-03-28 |