| NPI | 1760865471 |
|---|---|
| Former Name | KAREN NICOLE WOLF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 180245) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 180245-30) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-09-23 |