| NPI | 1356567895 |
|---|---|
| Other Name | MARY E WEATHERSBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 6583) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME 018152) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2012-07-05 |