| NPI | 1386901601 |
|---|---|
| Former Name | LINDSEY FAYE MAGNUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 5101024385) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NC 2016-02057) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2019-01-18 |