NPI | 1174577365 |
---|---|
Other Name | LU-ANN VANDEVERE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN3283142) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP3283142) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2024-01-13 |