| NPI | 1841664307 |
|---|---|
| Former Name | JENNIFER ANN WEIDNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN217393) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN217393) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2021-08-07 |