| NPI | 1043481369 |
|---|---|
| Former Name | MARY ELIZABETH LOCKYEAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 5549P) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN13258) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2009-08-11 |