NPI | 1083258966 |
---|---|
Former Name | LACEY LEANN LITTERAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0032631) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 232202) |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0032631) | |
Enumeration Date | 2019-11-04 |
Last Update Date | 2024-09-10 |