| NPI | 1720627912 |
|---|---|
| Former Name | CHRISTIANE WIEMKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95032460) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-020568) |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2025-02-21 |