| NPI | 1760589154 |
|---|---|
| Former Name | GWENDOLYN MARIE WOOLENSACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN571047) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: PA RN571047) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-04-05 |