| NPI | 1447880943 |
|---|---|
| Former Name | CALLIE CARTER WEAKLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL S12748) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |