| NPI | 1477590321 |
|---|---|
| Former Name | CONNIE LYNN NOEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9196681) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN7479) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2012-10-10 |