| NPI | 1295263267 |
|---|---|
| Former Name | ABIGAIL ELIZABETH WEISBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.005134RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: 50.000) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2021-08-27 |