NPI | 1558618884 |
---|---|
Former Name | CHANDRA WEILAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN CNP2259) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN R160948-4) |
Enumeration Date | 2012-08-06 |
Last Update Date | 2024-09-17 |