| NPI | 1417984758 |
|---|---|
| Former Name | DENISE LAMB, BLAIR WILBURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3004516) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 4516P) |
| 207QA0401X Family Medicine Addiction Medicine (Licence: IN 71001728A) | |
| 363LF0000X Nurse Practitioner Family (Licence: IN 71001728A) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2021-11-08 |