NPI | 1366407850 |
---|---|
Other Name | LYNNE ELLEN LABUE |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA VP002027G) |
Enumeration Date | 2006-04-19 |
Last Update Date | 2015-05-27 |