| NPI | 1346661410 |
|---|---|
| Former Name | ASHLEY LAUREN WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-121798) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-121798) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2024-02-23 |