NPI | 1922537547 |
---|---|
Other Name | LAKEITHA LANAY TUGGLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024174876) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024174876) |
363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024174876) | |
Enumeration Date | 2017-06-07 |
Last Update Date | 2023-04-18 |