NPI | 1942939004 |
---|---|
Former Name | AMBER CAVENDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 113675) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 76893) |
Enumeration Date | 2022-06-06 |
Last Update Date | 2022-07-07 |