| NPI | 1033545272 |
|---|---|
| Former Name | LYDIA MICHELLE MAYES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 500816) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008106) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP012872) | |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2023-08-02 |