| NPI | 1952822074 |
|---|---|
| Former Name | SIRENA JEAN WECKLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7717-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 7717-33) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2020-03-02 |