| NPI | 1821058421 |
|---|---|
| Former Name | KAREN LYNN WYSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 5989-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP1825) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 128436-2) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 128436-2) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AK AK940) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2018-10-30 |