| NPI | 1912477506 |
|---|---|
| Former Name | LINDY RUCKMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 1836) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WY 27776.1836) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2021-06-29 |