| NPI | 1629346846 |
|---|---|
| Other Name | KIM SANDS WIEDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: FL RN3164262) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2011-12-02 |