NPI | 1841424066 |
---|---|
Former Name | LUCIA CAROL ROLLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP18603) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN197365) |
Enumeration Date | 2009-05-04 |
Last Update Date | 2018-05-01 |