| NPI | 1851611602 |
|---|---|
| Former Name | AUDRA MICHELLE WENDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: OK 32083) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2016-12-07 |