NPI | 1730868993 |
---|---|
Former Name | JANUARY DAWN LOVETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1137078) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX 1093395139) |
Enumeration Date | 2023-07-14 |
Last Update Date | 2023-10-06 |