| NPI | 1285072991 |
|---|---|
| Former Name | LINDSEY RENE' FULLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01074883A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11017194A) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2017-01-24 |