| NPI | 1902843493 |
|---|---|
| Former Name | WILHELMINE WIESE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME125719) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301077039) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2018-10-24 |