NPI | 1679905020 |
---|---|
Former Name | KENDRA L WUELLNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201502470NP-PP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5376) |
Enumeration Date | 2013-08-07 |
Last Update Date | 2018-03-02 |