| NPI | 1568813608 |
|---|---|
| Former Name | WENDY NICOLE TULLOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A004779) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR A004779) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2019-03-05 |