NPI | 1972037208 |
---|---|
Former Name | THERESA N. LYNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: KY 05389) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB10757100) |
207R00000X Internal Medicine (Licence: PA OT017578) | |
207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: KY TP154) | |
Enumeration Date | 2017-04-13 |
Last Update Date | 2022-12-16 |