| NPI | 1760553507 |
|---|---|
| Other Name | CHERYL ANN WISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NC 046337) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 229186) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |