NPI | 1770057812 |
---|---|
Former Name | HANNAH L WEAVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-02185) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2019-01-11 |
Last Update Date | 2024-06-05 |