| NPI | 1710504477 |
|---|---|
| Former Name | SUMMER WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2020013203) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-06112) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2025-05-08 |