NPI | 1912049271 |
---|---|
Former Name | NANCY WEIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10020464) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP2580) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2024-07-15 |