NPI | 1730331596 |
---|---|
Former Name | LYNN EVANSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1023837) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: TX 662677) |
Enumeration Date | 2008-10-10 |
Last Update Date | 2023-02-24 |