NPI | 1518227255 |
---|---|
Former Name | LINDA MULL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 201638) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 201638) |
Enumeration Date | 2012-05-28 |
Last Update Date | 2021-05-03 |