NPI | 1487932018 |
---|---|
Former Name | LORI BETH PERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN62973-FNP-BC) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 62973) |
Enumeration Date | 2011-08-01 |
Last Update Date | 2021-11-17 |