NPI | 1720087828 |
---|---|
Former Name | LYNN BERNAIRD LEUSZLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: LA 030357) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: LA RN030357 AP02978) |
Enumeration Date | 2005-07-20 |
Last Update Date | 2013-10-24 |