| NPI | 1457842692 |
|---|---|
| Former Name | MADYLENE KATHLEEN WHEELER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018020916) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2014029345) |
| 163W00000X Registered Nurse (Licence: KS 13-128748-072) | |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2024-04-08 |