NPI | 1043873698 |
---|---|
Other Name | LUCKY KEONAVONG-ROBINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI 3052) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 225067) |
Enumeration Date | 2019-04-18 |
Last Update Date | 2024-08-28 |