NPI | 1164737599 |
---|---|
Other Name | LINDA MARIE CARLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2639) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN138645) |
Enumeration Date | 2010-08-10 |
Last Update Date | 2022-07-20 |