| NPI | 1447611272 |
|---|---|
| Former Name | LYNDA PANGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95004563) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 383045) |
| 363L00000X Nurse Practitioner (Licence: CA 95004563) | |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2019-01-14 |