| NPI | 1003051095 |
|---|---|
| Former Name | JODI KAREN WEINSTEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 1915142) |
| Additional Taxonomies | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: FL 023477102) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2023-01-17 |