| NPI | 1093027237 |
|---|---|
| Former Name | LINDA SUSAN GELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AZ TLP046411) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 106106-1) |
| Enumeration Date | 2010-07-03 |
| Last Update Date | 2010-07-03 |