| NPI | 1619548559 |
|---|---|
| Former Name | KENDRA RENEE PELTIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 110094) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 0000000) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WV 00000000) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WV 110094) | |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2023-04-19 |