NPI | 1437416120 |
---|---|
Former Name | LORI ANN LUNDEEN BITTERMAN HOLLADAYWILCOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9185417) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9185417) |
Enumeration Date | 2012-04-18 |
Last Update Date | 2024-10-21 |