| NPI | 1528895851 |
|---|---|
| Former Name | LARISSA KAYE OWENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 1000133-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 1000133-np) |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-10-02 |