| 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 |