NPI | 1184000697 |
---|---|
Former Name | LYNDSEY J BRATCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020010809) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013020) |
Enumeration Date | 2015-08-06 |
Last Update Date | 2024-07-02 |