| NPI | 1205597036 |
|---|---|
| Former Name | CHRISTIN LATHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 230934) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: AZ 230934) |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2024-08-13 |