NPI | 1366709511 |
---|---|
Former Name | SUZANNE B LUNSFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3007071) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3007071) |
Enumeration Date | 2012-04-12 |
Last Update Date | 2024-10-29 |