NPI | 1689270597 |
---|---|
Former Name | ASHLEY ANNE WEAVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018371) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0995926-NP) |
Enumeration Date | 2020-12-07 |
Last Update Date | 2023-07-10 |