NPI | 1871900225 |
---|---|
Former Name | LYNLEY R AMBROSON/KNIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1431A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60480678) |
Enumeration Date | 2014-07-17 |
Last Update Date | 2024-07-19 |