NPI | 1154671600 |
---|---|
Former Name | LAURIE POPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007659) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003806) |
364SN0000X Clinical Nurse Specialist, Neonatal (Licence: FL APRN11003806) | |
Enumeration Date | 2012-09-12 |
Last Update Date | 2023-04-17 |