| NPI | 1134256878 | 
|---|---|
| Former Name | LYNN MARIE WEBB | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704207743)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP14274)  | 
| Enumeration Date | 2007-02-28 | 
| Last Update Date | 2019-11-19 |