| NPI | 1184456162 |
|---|---|
| Former Name | N/A N/A LAIRSEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN236247) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN236247) |
| Enumeration Date | 2024-08-17 |
| Last Update Date | 2024-08-17 |