| NPI | 1992034268 |
|---|---|
| Former Name | MARILYN R. WESSEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NV 08-0057) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: NV 08-0057) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2009-12-16 |