| NPI | 1417950858 |
|---|---|
| Former Name | LYNN MARIE HELLEBUSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KS 0431117) |
| Additional Taxonomies | 174400000X Specialist (Licence: SC 24358) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2007-10-04 |