| NPI | 1508674920 |
|---|---|
| Former Name | LANESSA WHEELER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MO 2024049055) |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2024-12-19 |