NPI | 1679317036 |
---|---|
Former Name | LANESE WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL 09333) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11032373) |
367A00000X Advanced Practice Midwife (Licence: FL APRN11032373) | |
Enumeration Date | 2024-06-20 |
Last Update Date | 2024-08-12 |