| NPI | 1912415944 |
|---|---|
| Former Name | WENDY MCGINNIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018000918) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MO 2018000918) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2024-06-17 |