| NPI | 1356022933 |
|---|---|
| Former Name | MARY K WREEDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH APRN.CNP.0035250) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.359438) |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-10-25 |