| NPI | 1124301866 |
|---|---|
| Former Name | JULIE ANN JACOBSON-WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.00991193-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP011548) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2024-01-02 |