| NPI | 1093246951 |
|---|---|
| Former Name | HEIDI MICHELLE WEESE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IA 105141) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2024-04-12 |