| 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 |