NPI | 1780741223 |
---|---|
Former Name | LYNN MARIE MORELAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN TND00000001152) |
Additional Taxonomies | 208600000X Surgery (Licence: TN PA0000000556) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2012-05-24 |