NPI | 1003353848 |
---|---|
Former Name | LINDSEY N PIETSEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 30056) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015554) |
Enumeration Date | 2017-01-31 |
Last Update Date | 2024-06-05 |