NPI | 1740618768 |
---|---|
Former Name | LINDSAY WILLGOHS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209010859) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209010859) |
Enumeration Date | 2013-10-30 |
Last Update Date | 2021-12-21 |