NPI | 1861941007 |
---|---|
Former Name | LINDA CONNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006735A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28193176A) |
Enumeration Date | 2016-09-29 |
Last Update Date | 2019-02-21 |