NPI | 1104132018 |
---|---|
Former Name | LINDSEY LEIGH GAVIN-GARN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9407864) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9268813) |
Enumeration Date | 2010-08-30 |
Last Update Date | 2015-09-01 |