NPI | 1487439865 |
---|---|
Former Name | LINDSAY DULLARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11025142) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 11025142) |
Enumeration Date | 2023-08-25 |
Last Update Date | 2023-08-25 |