| NPI | 1205304573 |
|---|---|
| Former Name | LYNN MARIE THERENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 224984) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN089517) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2023-05-27 |