NPI | 1508222852 |
---|---|
Former Name | ELIZABETH LYNN PAYNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN11006316) |
Enumeration Date | 2016-01-01 |
Last Update Date | 2025-07-15 |