| NPI | 1629085576 |
|---|---|
| Former Name | LINDA LAVERNE RUSTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 8832) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 8832) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 8832) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2024-09-11 |