| NPI | 1700101938 |
|---|---|
| Former Name | JENNETTE A WIKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ0000255) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: DE LJ-0000255) |
| 363L00000X Nurse Practitioner (Licence: DE L10034230) | |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2020-10-27 |