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 | 2024-10-07 |