NPI | 1871813550 |
---|---|
Other Name | JACQUELINE LANHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006612) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71003616A) |
363L00000X Nurse Practitioner (Licence: KY 49086) | |
363LF0000X Nurse Practitioner, Family (Licence: KY 3006612) | |
Enumeration Date | 2010-06-04 |
Last Update Date | 2017-06-01 |