| NPI | 1942852868 |
|---|---|
| Former Name | LELA NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA MCS001212B) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.25349) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2021-09-21 |