| NPI | 1649825829 |
|---|---|
| Former Name | LAKITA MAE STANDIFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 26335) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 26335) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2023-07-31 |