NPI | 1336290683 |
---|---|
Former Name | NANCY WEIDNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WY 13810A) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 4418) |
Enumeration Date | 2007-01-15 |
Last Update Date | 2022-11-16 |