| NPI | 1568597839 |
|---|---|
| Former Name | WENDY SUSANNE BLACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA sp009006) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP009006) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2019-07-29 |