| NPI | 1710245816 |
|---|---|
| Former Name | SHIRA M WEISSBROD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP-18190) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.18190) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NR14276200) | |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2021-03-05 |