NPI | 1255470084 |
---|---|
Former Name | LYNDA J GILLAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 172860) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN172860) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2015-09-28 |