NPI | 1497504005 |
---|---|
Former Name | RHYAN WEAVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ 307366) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 307366) |
363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 307366) | |
Enumeration Date | 2024-05-15 |
Last Update Date | 2024-06-12 |