NPI | 1407009384 |
---|---|
Former Name | JODY LINDSAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 1991) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R-182865-0) |
Enumeration Date | 2008-10-23 |
Last Update Date | 2022-09-20 |