| NPI | 1972025021 |
|---|---|
| Former Name | HEIDI M. WELLNITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 7750-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 7750-33) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2024-06-27 |