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 |