NPI | 1528431020 |
---|---|
Former Name | MARY KATHLEEN LYNCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R195767) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MD R195767) |
163WL0100X Registered Nurse, Lactation Consultant (Licence: MD L-46806) | |
Enumeration Date | 2015-11-05 |
Last Update Date | 2018-06-16 |