NPI | 1013563394 |
---|---|
Former Name | KARRIE R LYNCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9295-33) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 9295) |
Enumeration Date | 2019-08-13 |
Last Update Date | 2024-10-04 |