NPI | 1346353364 |
---|---|
Former Name | ANNA WEISMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9336673) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 16372) |
Enumeration Date | 2006-08-16 |
Last Update Date | 2012-06-28 |