NPI | 1053767210 |
---|---|
Former Name | LINDSEY ANN WATERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN290894) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP130778) |
Enumeration Date | 2016-05-06 |
Last Update Date | 2020-02-26 |