NPI | 1255367868 |
---|---|
Former Name | CINDY SPIDLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A098515) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A098515) |
363LF0000X Nurse Practitioner, Family (Licence: MO 2010034382) | |
Enumeration Date | 2006-06-24 |
Last Update Date | 2021-02-11 |