NPI | 1770932907 |
---|---|
Former Name | BEVERLY LOUDERMILK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006312A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28167404A) |
Enumeration Date | 2016-06-08 |
Last Update Date | 2023-05-01 |