| NPI | 1205390747 |
|---|---|
| Former Name | JUDITH L LARKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN F01191311) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 187836) |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2020-04-27 |