| NPI | 1588163885 |
|---|---|
| Former Name | JANUARY LAUREN GENTRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135062) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0013284) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2025-12-08 |