| NPI | 1891228839 |
|---|---|
| Former Name | LOU ANN LATTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5009475) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 254702) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2022-07-21 |