NPI | 1114413846 |
---|---|
Former Name | LYNETTE FAY HAMMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NM 71689) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00168855) |
363LF0000X Nurse Practitioner, Family (Licence: NM 71689) | |
Enumeration Date | 2018-07-05 |
Last Update Date | 2023-09-27 |