| NPI | 1760429443 |
|---|---|
| Former Name | LYNNETTE A MASTERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 51989) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301106379) |
| 207Q00000X Family Medicine (Licence: MN 68355) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2022-10-10 |