| NPI | 1376932871 |
|---|---|
| Former Name | JENNIFER ASH WIERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704259364) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704259364) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2016-11-23 |