NPI | 1881242840 |
---|---|
Former Name | EMILY LOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP019876) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00931200) |
Enumeration Date | 2019-09-03 |
Last Update Date | 2023-03-23 |