| NPI | 1821470238 |
|---|---|
| Former Name | RAVEN L COVERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005555A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28184480A) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2023-07-18 |