| NPI | 1942717111 |
|---|---|
| Former Name | DANIELLE WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 112393) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 2029) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2020-04-13 |