NPI | 1194379818 |
---|---|
Former Name | LAJUANA LOWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: VA 0001208627) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: VA 0001208627) |
Enumeration Date | 2019-07-31 |
Last Update Date | 2019-07-31 |