| NPI | 1700180197 |
|---|---|
| Former Name | WANDA R WORRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP119747) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 789812) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2019-04-26 |