| NPI | 1851390918 |
|---|---|
| Former Name | LONNA L WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71001597A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 9425102) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2023-02-28 |