| 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 |