| NPI | 1518417641 |
|---|---|
| Former Name | LARA LYNN MILLIKAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN203833) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN203833) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2020-11-13 |