| NPI | 1669084034 |
|---|---|
| Former Name | JANETTE LYNN WATSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11008412) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 11008412) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2023-07-19 |