NPI | 1629074927 |
---|---|
Former Name | LYNN ALEXANDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP008979) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000123821) |
Enumeration Date | 2005-06-22 |
Last Update Date | 2018-06-22 |