| NPI | 1891923793 |
|---|---|
| Former Name | ISRAEL WHEELER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 2278) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 013378) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2019-01-09 |