| NPI | 1114245370 |
|---|---|
| Former Name | SARA JOSEPHINE WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9112233) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA053442) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2021-03-09 |