| NPI | 1619327335 | 
|---|---|
| Former Name | LYNN RIESTER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 77009) | 
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 1769) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-14 | 
| Last Update Date | 2025-03-05 |