| NPI | 1568753721 |
|---|---|
| Former Name | SUZANNE LEIGH WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 201401611) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 201401611) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2023-07-07 |