NPI | 1538698691 |
---|---|
Former Name | LYNN M MYERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011354) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3011354) |
363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3011354) | |
Enumeration Date | 2017-06-12 |
Last Update Date | 2024-12-17 |