| NPI | 1417493636 |
|---|---|
| Former Name | LYNDSEY RYAN TILLMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 104718) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 104718) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK R0104718) | |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2023-11-29 |