| NPI | 1821598822 |
|---|---|
| Former Name | JOY NICOLE WIEDENMEIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WI 8299-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 136445) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-03-19 |