| NPI | 1598189110 |
|---|---|
| Former Name | MARY WENDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209011287) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041362764) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2022-04-28 |