| NPI | 1457332173 |
|---|---|
| Former Name | LINDA SUE PAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1077979) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1077979) |
| 163W00000X Registered Nurse (Licence: GA RN083650) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2008-03-04 |