| NPI | 1336635127 |
|---|---|
| Former Name | SARA ELIZABETH WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110008575) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2022-09-07 |