| NPI | 1376807701 |
|---|---|
| Former Name | LINDA MAREE RUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 21944) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2012-06-29 |