NPI | 1952833741 |
---|---|
Former Name | JEANNE MARIE LOTHROP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202113281NP-PP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA 60720811) |
Enumeration Date | 2017-03-30 |
Last Update Date | 2023-11-15 |