| NPI | 1871932673 |
|---|---|
| Former Name | NICOLE LYNN WENSCHLAG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 35926) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL35926) |
| 208000000X Pediatrics (Licence: SC 35926) | |
| 208000000X Pediatrics (Licence: SC LL35926) | |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2024-03-23 |