NPI | 1063024693 |
---|---|
Former Name | NAOMI KIMBALL WEITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA APRN2328912) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2328912) |
363LF0000X Nurse Practitioner, Family (Licence: MA 2020014295) | |
Enumeration Date | 2020-08-17 |
Last Update Date | 2023-10-12 |