| NPI | 1568761849 |
|---|---|
| Former Name | TRICIA E WISMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IA C088911) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IA C088911) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C088911) | |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2011-03-25 |