| NPI | 1528455458 | 
|---|---|
| Former Name | MONICA DENICE WEEKS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 81054)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| Enumeration Date | 2015-04-17 | 
| Last Update Date | 2019-07-19 |