NPI | 1528362340 |
---|---|
Former Name | LYNSEY BRIANE RIDOUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0991119-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60192019) |
Enumeration Date | 2011-01-08 |
Last Update Date | 2014-06-12 |