| NPI | 1982602751 |
|---|---|
| Former Name | TERRY L. WENNERSTEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704148492) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704148492) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2010-05-27 |