| NPI | 1457676314 |
|---|---|
| Former Name | AUTUMN M WENGLIKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M-16646) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 46501) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2022-07-26 |