NPI | 1346962909 |
---|---|
Former Name | LINDSEY MARIE SHAFFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 114186) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 86274) |
Enumeration Date | 2022-09-12 |
Last Update Date | 2022-09-12 |