NPI | 1952748576 |
---|---|
Former Name | LARA ELIZABETH COIRATON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3008063) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1120718) |
Enumeration Date | 2013-05-23 |
Last Update Date | 2023-09-13 |