NPI | 1912338450 |
---|---|
Former Name | LIESL WEIMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95022010) |
Additional Taxonomies | 176B00000X Midwife (Licence: CA LM 345) |
163W00000X Registered Nurse (Licence: CA RN95229608) | |
Enumeration Date | 2013-12-10 |
Last Update Date | 2022-07-26 |