| NPI | 1144938218 |
|---|---|
| Former Name | CAROLINE ANNE WEICKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-14137) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9116701) |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2024-04-04 |