| NPI | 1043452824 |
|---|---|
| Former Name | KELLY L. WEIDNER-HEYDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN262338L) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2021-09-02 |