| NPI | 1861647802 |
|---|---|
| Former Name | DONNA FAYE WEEDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA APO4295) |
| Additional Taxonomies | 163WX0106X Registered Nurse, Occupational Health (Licence: LA RN055471) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 810318) | |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2012-03-01 |