NPI | 1972050615 |
---|---|
Former Name | JODI R LINDEMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO 0165581) |
Enumeration Date | 2016-09-09 |
Last Update Date | 2016-09-09 |