NPI | 1366477408 |
---|---|
Former Name | LYNN SIDARI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN211041) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61173565) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2022-07-27 |