| NPI | 1336653716 |
|---|---|
| Former Name | LINDSAY JUNE WARGELIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: IL 209016768) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209016768) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704386262) | |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2023-08-02 |