NPI | 1184855025 |
---|---|
Former Name | LYNN MARIE KLEINSCHMIDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 363LA2200X) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 155035-030) |
163W00000X Registered Nurse (Licence: MN R 153434-2) | |
Enumeration Date | 2009-07-27 |
Last Update Date | 2020-11-10 |