NPI | 1033179965 |
---|---|
Former Name | LINDA ANN DICKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704241910) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 08660) |
Enumeration Date | 2006-03-24 |
Last Update Date | 2017-02-02 |