| NPI | 1669912457 |
|---|---|
| Former Name | LUISA WONDRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN328484) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9258834) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9258834) | |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2024-06-20 |