| NPI | 1932807161 |
|---|---|
| Former Name | HOLLY WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP244688) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN244688) |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2025-10-09 |