| NPI | 1538891312 |
|---|---|
| Former Name | ELLEN WENGLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95028755) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11019172) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2025-01-17 |