NPI | 1689315715 |
---|---|
Former Name | JAMIE MARIE WEIHE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101285315) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD600004497) |
Enumeration Date | 2022-04-05 |
Last Update Date | 2025-08-27 |