| NPI | 1023275427 |
|---|---|
| Former Name | RAYLEE S WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60231454) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 102266) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2014-01-23 |