NPI | 1316198864 |
---|---|
Former Name | LEIGHANN C WIEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME104669) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN10269) |
Enumeration Date | 2008-10-02 |
Last Update Date | 2011-02-08 |