| NPI | 1336290683 |
|---|---|
| Former Name | NANCY WEIDNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WY 156-T1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 4418) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2019-07-04 |