| NPI | 1578635405 |
|---|---|
| Former Name | JEAN M WEISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60663107) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60663107) |
| 363LF0000X Nurse Practitioner, Family (Licence: ID NP-748A) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-03-09 |