NPI | 1881696417 |
---|---|
Former Name | LAURA LYNN SUTTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: TN APN0000006060) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 70783) |
Enumeration Date | 2005-08-12 |
Last Update Date | 2013-02-12 |