NPI | 1659531127 |
---|---|
Former Name | JENNIFER LYNDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A110989) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A110989) |
207R00000X Internal Medicine (Licence: NH 17479) | |
Enumeration Date | 2008-06-09 |
Last Update Date | 2023-09-08 |