| NPI | 1801131107 |
|---|---|
| Former Name | ANN MARIE WIESNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NC 700275) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: NC 25719) |
| 1835P2201X Pharmacist Ambulatory Care (Licence: KY 013773) | |
| 1835P2201X Pharmacist Ambulatory Care (Licence: VA 0202209615) | |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2021-04-09 |