| NPI | 1629589080 |
|---|---|
| Former Name | TINA MARIE WEILER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: UT 6988426-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 6988426-4405) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2026-08-20 |