NPI | 1245418698 |
---|---|
Former Name | LYNNE N PELIKAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R2048358) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH NP-04198) |
363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704271822) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: MN R204835-8) | |
Enumeration Date | 2008-02-07 |
Last Update Date | 2012-04-23 |