| NPI | 1063480325 |
|---|---|
| Former Name | ABIGAIL ANN LUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 11915) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 11915) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 11915) | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2023-09-25 |