| NPI | 1568930691 |
|---|---|
| Former Name | MEDLEY WOLLENMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 830126) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP140447) |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2022-08-04 |