NPI | 1114116159 |
---|---|
Former Name | LANA H. VANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 078530-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167561) |
Enumeration Date | 2007-10-16 |
Last Update Date | 2024-09-27 |