| NPI | 1912348038 |
|---|---|
| Former Name | LILLY LUKOSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9222528) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP9222528) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-10-15 |