NPI | 1790068922 |
---|---|
Former Name | LINDA MCIVER DUXBURY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA F0211278) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F0211278) |
363L00000X Nurse Practitioner (Licence: GA RN109974) | |
Enumeration Date | 2011-09-23 |
Last Update Date | 2015-06-29 |