| NPI | 1174882799 |
|---|---|
| Former Name | LINDSEY SHIRLEY PUTNAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL 9310493) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9310493) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2021-03-11 |