| NPI | 1225435696 |
|---|---|
| Former Name | KIMBERLY ANN WEISSERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP5024) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012234) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2014039299) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9404799) | |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2018-03-22 |