| NPI | 1366115917 |
|---|---|
| Former Name | JESSICA M LAWO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2021039632) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 5380697) |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2022-11-12 |