| NPI | 1548211360 |
|---|---|
| Former Name | LINDA PALM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: MI 4301091129) |
| Additional Taxonomies | 2085R0001X (Licence: HI MD-22376) |
| 2085R0001X (Licence: WI 43521-020) | |
| 2085R0001X (Licence: ID M-14269) | |
| 2085R0001X (Licence: WA MD60855711) | |
| 2085R0001X (Licence: AZ 64928) | |
| 2085R0001X (Licence: CA C172502) | |
| 2085R0001X (Licence: GA 91727) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2023-10-24 |