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 |