| NPI | 1457826042 |
|---|---|
| Former Name | LORENA WAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 9259079) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9259079) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9259079) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9259079) | |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2023-05-31 |