NPI | 1124674460 |
---|---|
Professional Name | KIMBERLY KAE WEGGEMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 5039306-4405) |
Enumeration Date | 2019-08-13 |
Last Update Date | 2024-05-08 |