NPI | 1780103465 |
---|---|
Former Name | CHRISTA LAMOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA F02220725) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN225368) |
Enumeration Date | 2017-09-14 |
Last Update Date | 2022-04-01 |