NPI | 1184054900 |
---|---|
Professional Name | LESIA HERRON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN115103) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1020457) |
Enumeration Date | 2013-11-14 |
Last Update Date | 2015-12-30 |