| NPI | 1184252041 |
|---|---|
| Former Name | MARIANNA WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL OS19655) |
| Additional Taxonomies | 208D00000X General Practice (Licence: KY R5392) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2026-01-08 |