| NPI | 1932696861 |
|---|---|
| Former Name | LAWANDA DENISE BUCKRAM TIMMSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC F03180867) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5010571) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2023-01-25 |