| NPI | 1447794318 |
|---|---|
| Former Name | LINDSEY MARIE DESTEFANIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 7525) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 173983-30) |
| 363L00000X Nurse Practitioner (Licence: WI 7525-33) | |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2024-03-26 |