NPI | 1831686724 |
---|---|
Former Name | CASEY LINKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015529) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024188297) |
363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001816) | |
363LF0000X Nurse Practitioner, Family (Licence: CO C-RXN.0000426-C-NP) | |
Enumeration Date | 2018-04-17 |
Last Update Date | 2023-11-09 |