NPI | 1912482688 |
---|---|
Former Name | LINDSAY RENEE NOWLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209024625) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018031882) |
Enumeration Date | 2018-09-28 |
Last Update Date | 2024-06-28 |