| NPI | 1659345288 |
|---|---|
| Former Name | LINDA S. UPCHURCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209001469) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A166548) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2023-02-09 |