NPI | 1285943423 |
---|---|
Former Name | AMBER WIENIEWITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN17403) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 175397) |
163W00000X Registered Nurse (Licence: TN RN0000175397) | |
Enumeration Date | 2010-10-06 |
Last Update Date | 2023-02-03 |