| NPI | 1033654702 |
|---|---|
| Former Name | JANE SUSAN WEINGARTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MI 4704232878) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MI 4704232878) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2024-09-29 |