| NPI | 1114028107 |
|---|---|
| Former Name | LYNETTE Y. MCBRIDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL MD.35499) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-086942) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2016-11-02 |