| NPI | 1417109760 |
|---|---|
| Former Name | MISTY KAY WESSEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND 11654) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND PT 11654) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2022-03-29 |