NPI | 1518037670 |
---|---|
Former Name | WENDY SUSAN MARKUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA VP001592-C) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA VP001592C) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2014-10-20 |