| NPI | 1023978194 |
|---|---|
| Former Name | MICHELLE WIEMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP70088281) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: WA AP70088281) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP70088281) | |
| Enumeration Date | 2025-11-12 |
| Last Update Date | 2026-01-23 |