| NPI | 1386044576 |
|---|---|
| Former Name | WENDY MCCLELLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2014022532) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 5376372071) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2016-05-19 |