| NPI | 1619283769 |
|---|---|
| Former Name | LORI JANE MULLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN37430) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 37430) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2023-08-30 |