NPI | 1407349871 |
---|---|
Former Name | JENNIFER A WANKEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60860636) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA ARNP.AP.60860636-NP) |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WA ARNP.AP.60860636-NP) | |
Enumeration Date | 2018-06-11 |
Last Update Date | 2022-03-16 |