NPI | 1841252301 |
---|---|
Former Name | LINDA JEAN TUBMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 3595) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN R 091647-9) |
363L00000X Nurse Practitioner (Licence: WI 3595) | |
Enumeration Date | 2006-04-03 |
Last Update Date | 2018-04-06 |