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 |