NPI | 1396095923 |
---|---|
Former Name | LINDSEY ANNE GARDNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004429) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1027800) |
Enumeration Date | 2012-09-11 |
Last Update Date | 2018-10-31 |