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 |