| NPI | 1538864269 |
|---|---|
| Former Name | ELIZABETH JOY WEISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 012209) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-08-18 |