NPI | 1083149413 |
---|---|
Former Name | LYNLE KATE WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016915) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP016915) |
Enumeration Date | 2017-04-24 |
Last Update Date | 2025-04-07 |