| NPI | 1922291749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY WENTLAND Nurse Practitioner/Owner 920-965-7716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 911033) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |