| NPI | 1609409580 |
|---|---|
| Former Name | HEATHER NICOLE LYNCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 104940) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 86520) |
| 163W00000X Registered Nurse (Licence: PA RN718107) | |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |