| NPI | 1790462091 |
|---|---|
| Former Name | LANTANA SOHLDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11028458) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9354770) |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2024-01-24 |