NPI | 1760637920 |
---|---|
Former Name | KENDRA LAWLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200950096NP) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OR 200541430RN) |
Enumeration Date | 2008-12-01 |
Last Update Date | 2021-03-25 |