| NPI | 1295747533 |
|---|---|
| Former Name | ELIZABETH KOSTIN WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP441749) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 14885) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2022-04-28 |