NPI | 1518527266 |
---|---|
Former Name | JESSICA LOVETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5020036) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 308559) |
Enumeration Date | 2019-06-15 |
Last Update Date | 2024-07-22 |