NPI | 1699233288 |
---|---|
Former Name | LINA SAVAGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R131920) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R131920) |
364SF0001X Clinical Nurse Specialist, Family Health (Licence: MD R131920) | |
Enumeration Date | 2019-03-04 |
Last Update Date | 2019-03-11 |