NPI | 1104695659 |
---|---|
Former Name | ALEXIS J WEIMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA ARNP.AP.70043641-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61136510) |
Enumeration Date | 2023-12-26 |
Last Update Date | 2025-09-10 |