NPI | 1477933810 |
---|---|
Former Name | LORI HAMPTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 25784) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 19846) |
Enumeration Date | 2015-06-01 |
Last Update Date | 2024-01-17 |