NPI | 1558373340 |
---|---|
Former Name | LARA JALAINE LLOYD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WY 19907.0282) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: WY 199070282) |
Enumeration Date | 2006-08-12 |
Last Update Date | 2011-10-22 |