NPI | 1144514845 |
---|---|
Former Name | ASHLEY NICOLE WEIMORTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024169023) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001211295) |
Enumeration Date | 2011-05-31 |
Last Update Date | 2023-08-10 |