| NPI | 1598107666 |
|---|---|
| Former Name | KAYCE A WENDEROTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3010114) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71004552A) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 71004552A) | |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2023-04-03 |