| NPI | 1497504005 | 
|---|---|
| Former Name | RHYAN WEAVER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 307366) | 
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 307366) | 
| Enumeration Date | 2024-05-15 | 
| Last Update Date | 2025-08-29 |