| NPI | 1679575997 |
|---|---|
| Professional Name | WENDY K RUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 45442) |
| Additional Taxonomies | 207QS0010X Family Medicine Sports Medicine (Licence: GA 045442) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2016-11-22 |