| NPI | 1225508377 |
|---|---|
| Former Name | ROSA ANN WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.023829) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH APRN.CNP.023829) |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2022-10-25 |