| NPI | 1194085985 |
|---|---|
| Former Name | NATALIE JEAN WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 29272) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 29272) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2017-07-19 |