NPI | 1114550993 |
---|---|
Former Name | FAITH LYNN PLETCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013595) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 280050) |
Enumeration Date | 2020-02-19 |
Last Update Date | 2021-10-12 |