| NPI | 1912032707 |
|---|---|
| Former Name | JENNIFER LOUISE WEIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD218894) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN 58404) |
| 208600000X Surgery (Licence: CA A86308) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2024-04-23 |