| NPI | 1760704837 | 
|---|---|
| Former Name | MELISSA DAWN WIEHE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1407)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 1396282031)  | 
| 163W00000X Registered Nurse (Licence: TN RN181387)  | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS TMP141187)  | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN15845)  | |
| Enumeration Date | 2010-02-17 | 
| Last Update Date | 2020-10-13 |