| NPI | 1689346389 |
|---|---|
| Former Name | LINDSAY THEOBALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2322134) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2322134) |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2023-11-20 |