NPI | 1558602664 |
---|---|
Former Name | LINDSAY RENEE NELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 11117-33) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09166) |
Enumeration Date | 2013-03-14 |
Last Update Date | 2021-08-18 |