| NPI | 1790965242 |
|---|---|
| Former Name | WENDY KEHL PRUETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN2108822) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2108822) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2023-07-14 |