| NPI | 1306222419 |
|---|---|
| Former Name | LAVERN WEBSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3300612) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN3300612) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2024-11-19 |