NPI | 1669487328 |
---|---|
Former Name | LYNN F GILLESPIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024165419) |
Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: VA 0015000662) |
Enumeration Date | 2006-07-30 |
Last Update Date | 2007-07-08 |