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 |