| NPI | 1497772362 |
|---|---|
| Former Name | PATRICIA WIEGAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 9900119) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-171570) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2024-12-04 |