| NPI | 1285640227 |
|---|---|
| Professional Name | J LARA MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 2831402) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 2831402) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: FL 2831402) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2011-02-15 |