NPI | 1588234157 |
---|---|
Former Name | KAREN L WENDELGLASS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F347841-01) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 347841) |
Enumeration Date | 2021-06-28 |
Last Update Date | 2025-10-08 |