| NPI | 1538829270 |
|---|---|
| Former Name | KARI BERNICE WIEGMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209024192) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021042609) |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2023-10-23 |