NPI | 1710126941 |
---|---|
Other Name | LASONDRA BROWNIECE COLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016657) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 13838) |
Enumeration Date | 2009-02-11 |
Last Update Date | 2023-01-19 |