| NPI | 1366605511 |
|---|---|
| Former Name | SUSAN M WENZELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LJ00000110) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ-0000110) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2012-02-14 |