| NPI | 1134294838 |
|---|---|
| Other Name | LINDA C WAGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: NY 291456) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: NY 291456) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2008-06-12 |