NPI | 1174938575 |
---|---|
Former Name | LINDA LEE BRYCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277000397) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 277000397) |
Enumeration Date | 2014-06-24 |
Last Update Date | 2022-12-15 |