NPI | 1023405859 |
---|---|
Former Name | LORA EVE PARVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP002215) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011385) |
Enumeration Date | 2015-04-20 |
Last Update Date | 2025-01-15 |