| NPI | 1881988624 |
|---|---|
| Former Name | CLARISSA LEE WEIGEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN CNP1430) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN CNP1430) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2024-03-21 |