NPI | 1467616334 |
---|---|
Former Name | LINDA JEAN STOLTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA VP004798D) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN325692L) |
Enumeration Date | 2008-07-10 |
Last Update Date | 2013-03-14 |