| NPI | 1902540107 |
|---|---|
| Professional Name | TARYN DENISE WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 3288) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-04-24 |
| Last Update Date | 2023-02-23 |