| NPI | 1558678623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI M LAFFERTY Owner 304-842-3341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 50679) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2013-05-17 |