NPI | 1841600699 |
---|---|
Former Name | JOSIE CHRISTINE LATTIMORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5006872) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006872) |
Enumeration Date | 2014-05-02 |
Last Update Date | 2024-07-24 |