| NPI | 1962871202 |
|---|---|
| Former Name | MICHELLE WONNEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 53-76890-031) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 53-76890-031) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 53-76890-031) | |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2025-12-31 |