NPI | 1518505973 |
---|---|
Former Name | JESSICA L WEISSMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2323730) |
Enumeration Date | 2019-12-17 |
Last Update Date | 2024-05-22 |