| 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 |