NPI | 1053835637 |
---|---|
Former Name | LINDSEY MARIE HUCKETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60769404) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60769404) |
Enumeration Date | 2017-07-26 |
Last Update Date | 2022-11-09 |