| NPI | 1629414826 |
|---|---|
| Former Name | JENNIFER MICHELLE WUERSTLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 9750862-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN17620) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2016-10-18 |