| NPI | 1326394198 |
|---|---|
| Former Name | EMILY ROSE WEIMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR 191425) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA ML60303568) |
| 207Q00000X Family Medicine (Licence: CA A137392) | |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2021-05-18 |