| NPI | 1730437732 |
|---|---|
| Former Name | MEREDITH L WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 006487) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 6487) |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2023-01-18 |