| NPI | 1063178812 |
|---|---|
| Former Name | JAMIE SUE WEIGEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 11545-33) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: WI 11545-33) |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2023-02-22 |