| NPI | 1245623594 |
|---|---|
| Former Name | ERICA SUE WIENEKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 103489) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 78439) |
| 163W00000X Registered Nurse (Licence: NC 276621) | |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2018-02-08 |