| NPI | 1568626893 |
|---|---|
| Former Name | LYNN GREGORY CALLAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704104510) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704104510) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2012-03-29 |