| NPI | 1982802104 |
|---|---|
| Former Name | SHAUNA LYNN WEISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD442209) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT191747) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2025-05-16 |