NPI | 1225296528 |
---|---|
Former Name | LESA RAE GILBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP3386022) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3386022) |
Enumeration Date | 2008-05-23 |
Last Update Date | 2017-03-28 |