NPI | 1912760042 |
---|---|
Former Name | LYNCE STALNAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33895) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11021120) |
Enumeration Date | 2024-02-01 |
Last Update Date | 2024-11-13 |