NPI | 1396272282 |
---|---|
Other Name | LAURA AMBER WETZEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP016469) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP016469) |
Enumeration Date | 2017-05-22 |
Last Update Date | 2017-05-22 |