| NPI | 1033285242 |
|---|---|
| Former Name | CAROL LYDIA WIEDIGER AISTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202201526NP-PP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704367059) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403445) | |
| 364S00000X Clinical Nurse Specialist (Licence: CT 000886) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2023-11-14 |