| NPI | 1851813505 |
|---|---|
| Former Name | CHELSEY NICOLE WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 3321) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TN 3321) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2022-09-09 |