| NPI | 1790413193 |
|---|---|
| Former Name | LORETTA SKELTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5016673) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 5016673) |
| 207T00000X Neurological Surgery (Licence: NC 5016673) | |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2023-03-02 |