NPI | 1134472525 |
---|---|
Former Name | REBECCA KINDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN39056) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 39056) |
Enumeration Date | 2012-10-22 |
Last Update Date | 2022-04-04 |