| NPI | 1902102239 |
|---|---|
| Former Name | BECKY LEE WENBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8737-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 163385) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2019-01-09 |