| NPI | 1487824942 |
|---|---|
| Former Name | GRETA WIEDEMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 500414) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2017-11-17 |