| NPI | 1740555895 |
|---|---|
| Former Name | KAREN MARIE WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: IN 01076636A) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2023-12-15 |