NPI | 1518562891 |
---|---|
Former Name | JEANETTE L WEISSNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11023854) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9472877) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL APRN11023854) | |
Enumeration Date | 2020-12-03 |
Last Update Date | 2023-09-11 |