NPI | 1134128168 |
---|---|
Other Name | LYNN C MAGRUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024054108) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024054108) |
Enumeration Date | 2005-07-20 |
Last Update Date | 2023-11-27 |