| 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 |