| 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 |