| NPI | 1588289979 |
|---|---|
| Former Name | HANNAH KATHRYN ROSE WEBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2023013205) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA061569) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2023-07-07 |